Improving In-Hospital Care For Older Adults: A Mixed Methods Study Protocol to Evaluate a System-Wide Sub-Acute Care Intervention in Canada
References
- United Nations. 2019 Revision of World Population Prospects 2019. Available from:
https://population.un.org/wpp/ . - Stephan BCM, Birdi R, Tang EYH, et al. Secular Trends in Dementia Prevalence and Incidence Worldwide: A Systematic Review. Journal of Alzheimer’s disease: JAD. 2018; 66(2): 653–80. DOI: 10.3233/JAD-180375
- World Health Organization. Dementia: Fact sheet 2017. Available from:
http://www.who.int/mediacentre/factsheets/fs362/en/ . - 2020 Alzheimer’s disease facts and figures. Alzheimer’s & dementia: the journal of the Alzheimer’s Association. 2020.
- Chatterji S, Byles J, Cutler D, Seeman T, Verdes E. Health, functioning, and disability in older adults-present status and future implications. Lancet. 2015; 385(9967): 563–75. DOI: 10.1016/S0140-6736(14)61462-8
- Prince MJ, Wu F, Guo Y, et al. The burden of disease in older people and implications for health policy and practice. Lancet. 2015; 385(9967): 549–62. DOI: 10.1016/S0140-6736(14)61347-7
- Canadian Institutes of Health Information. Health Care in Canada, 2011: A Focus on Seniors and Aging.
https://securecihica/free_products/HCIC_2011_seniors_report_enpdf . 2011. - Edemekong PF, Bomgaars DL, Sukumaran S, Levy SB.
Activities of Daily Living (ADLs) . StatPearls. Treasure Island, FL: StatPearls Publishing; 2020. - National Council on Aging. Healthy Aging Facts. Available from:
https://www.ncoa.org/news/resources-for-reporters/get-the-facts/healthy-aging-facts/ . - Griffith LE, Gruneir A, Fisher K, et al. Insights on multimorbidity and associated health service use and costs from three population-based studies of older adults in Ontario with diabetes, dementia and stroke. BMC Health Serv Res. 2019; 19(1): 313. DOI: 10.1186/s12913-019-4149-3
- Fisher K, Griffith L, Gruneir A, et al. Comorbidity and its relationship with health service use and cost in community-living older adults with diabetes: A population-based study in Ontario, Canada. Diabetes Research and Clinical Practice. 2016; 122: 113–23. DOI: 10.1016/j.diabres.2016.10.009
- Greenwald PW, Stern ME, Rosen T, Clark S, Flomenbaum N. Trends in short-stay hospitalizations for older adults from 1990 to 2010: Implications for geriatric emergency care. The American Journal of Emergency Medicine. 2014; 32(4): 311–4. DOI: 10.1016/j.ajem.2013.12.011
- Gruneir A, Griffith L, Fisher K, et al. Increasing comorbidity and health services utilization in older adults with prior stroke. Neurology. 2016; 87(20): 2091-. DOI: 10.1212/WNL.0000000000003329
- Quach C, McArthur M, McGeer A, et al. Risk of infection following a visit to the emergency department: A cohort study. CMAJ. 2012; 184(4): E232–9. DOI: 10.1503/cmaj.110372
- Gardiner JC, Reed PL, Bonner JD, H4aggerty DK, Hale DG. Incidence of hospital-acquired pressure ulcers - a population-based cohort study. International wound journal. 2016; 13(5): 809–20. DOI: 10.1111/iwj.12386
- Cole MG, Ciampi A, Belzile E, Zhong L. Persistent delirium in older hospital patients: a systematic review of frequency and prognosis. Age Ageing. 2009; 38(1): 19–26. DOI: 10.1093/ageing/afn253
- McCabe JJ, Kennelly SP. Acute care of older patients in the emergency department: strategies to improve patient outcomes. Open Access Emergency Medicine. 2015; 7: 45–54. DOI: 10.2147/OAEM.S69974
- Hirschman KB, Paik HH, Pines JM, et al. Cognitive impairment among older adults in the emergency department. West J Emerg Med. 2011; 12(1): 56–62.
- Tam VC, Knowles SR, Cornish PL, et al. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Cmaj. 2005; 173(5): 510–5. DOI: 10.1503/cmaj.045311
- Armor BL, Wight AJ, Carter SM. Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between Hospital Discharge and Primary Care Follow-Up. Journal of pharmacy practice. 2016; 29(2): 132–7. DOI: 10.1177/0897190014549836
- Le Berre M, Maimon G, Sourial N, Guériton M, Vedel I. Impact of Transitional Care Services for Chronically Ill Older Patients: A Systematic Evidence Review. Journal of the American Geriatrics Society. 2017; 65(7): 1597–608. DOI: 10.1111/jgs.14828
- Zurlo A, Zuliani G. Management of care transition and hospital discharge. Aging Clin Exp Res. 2018; 30(3): 263–70. DOI: 10.1007/s40520-017-0885-6
- Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007; 167(12): 1305–11. DOI: 10.1001/archinte.167.12.1305
- Naylor MD. Transitional care of older adults. Annual review of nursing research. 2002; 20: 127–47. DOI: 10.1891/0739-6686.20.1.127
- Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Joint Commission journal on quality and patient safety. 2018; 44(5): 270–8. DOI: 10.1016/j.jcjq.2017.10.006
- Li JY, Yong TY, Hakendorf P, Ben-Tovim D, Thompson CH. Timeliness in discharge summary dissemination is associated with patients’ clinical outcomes. Journal of evaluation in clinical practice. 2013; 19(1): 76–9. DOI: 10.1111/j.1365-2753.2011.01772.x
- Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013; 158(5 Pt 2): 433–40. DOI: 10.7326/0003-4819-158-5-201303051-00011
- Coleman EA, Boult C. Improving the quality of transitional care for persons with complex care needs. Journal of the American Geriatrics Society. 2003; 51(4): 556–7. DOI: 10.1046/j.1532-5415.2003.51186.x
- Dawda P, Russell L. Sub-acute care An international literature review 2014. Available from:
https://rsph.anu.edu.au/files/Sub_acute_care_intl_lit_review.pdf . - Holland DE, Harris MR. Discharge planning, transitional care, coordination of care, and continuity of care: clarifying concepts and terms from the hospital perspective. Home Health Care Serv Q. 2007; 26(4): 3–19. DOI: 10.1300/J027v26n04_02
- Manville M, Klein MC, Bainbridge L. Improved outcomes for elderly patients who received care on a transitional care unit. Can Fam Physician. 2014; 60(5): e263–71.
- Kushner DS, Peters KM, Johnson-Greene D. Evaluating Siebens Domain Management Model for inpatient rehabilitation to increase functional independence and discharge rate to home in geriatric patients. Archives of physical medicine and rehabilitation. 2015; 96(7): 1310–8. DOI: 10.1016/j.apmr.2015.03.011
- Del Giudice E, Ferretti E, Omiciuolo C, et al. The hospital-based, post-acute geriatric evaluation and management unit: the experience of the acute geriatric unit in Trieste. Archives of gerontology and geriatrics. 2009; 49 Suppl 1: 49–60. DOI: 10.1016/j.archger.2009.09.012
- Young J, Green J, Forster A, et al. Postacute care for older people in community hospitals: a multicenter randomized, controlled trial. Journal of the American Geriatrics Society. 2007; 55(12): 1995–2002. DOI: 10.1111/j.1532-5415.2007.01456.x
- O’Reilly J, Lowson K, Green J, Young JB, Forster A. Post-acute care for older people in community hospitals--a cost-effectiveness analysis within a multi-centre randomised controlled trial. Age Ageing. 2008; 37(5): 513–20. DOI: 10.1093/ageing/afn120
- Hitch B, Parlier AB, Reed L, et al. Evaluation of a Team-Based, Transition-of-Care Management Service on 30-Day Readmission Rates. North Carolina medical journal. 2016; 77(2): 87–92. DOI: 10.18043/ncm.77.2.87
- Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006; 166(17): 1822–8. DOI: 10.1001/archinte.166.17.1822
- Robinson TE, Zhou L, Kerse N, et al. Evaluation of a New Zealand program to improve transition of care for older high risk adults. Australasian journal on ageing. 2015; 34(4): 269–74. DOI: 10.1111/ajag.12232
- Naylor MD, Bowles KH, McCauley KM, et al. High-value transitional care: translation of research into practice. Journal of evaluation in clinical practice. 2013; 19(5): 727–33.
- Buurman BM, Parlevliet JL, Allore HG, et al. Comprehensive Geriatric Assessment and Transitional Care in Acutely Hospitalized Patients: The Transitional Care Bridge Randomized Clinical Trial. JAMA internal medicine. 2016; 176(3): 302–9. DOI: 10.1001/jamainternmed.2015.8042
- Heim N, Rolden H, van Fenema EM, et al. The development, implementation and evaluation of a transitional care programme to improve outcomes of frail older patients after hospitalisation. Age Ageing. 2016; 45(5): 643–51. DOI: 10.1093/ageing/afw098
- Wang YC, Chou M-Y, Liang C-k, et al. Post-Acute Care as a Key Component in a Healthcare System for Older Adults. Annals of Geriatric Medicine and Research. 2019; 23. DOI: 10.4235/agmr.19.0009
- Gledhill K, Hanna L, Nicks R, Lannin NA. Defining discharge-readiness from subacute care from all stakeholders’ perspectives: a systematic review. Disability and rehabilitation. 2020: 1–8. DOI: 10.1080/09638288.2020.1733107
- Kim H, Thyer BA. Does transitional care prevent older adults from rehospitalization? A review. Journal of evidence-informed social work. 2015; 12(3): 261–71. DOI: 10.1080/15433714.2013.827140
- Davis J, Morgans A, Stewart J. Developing an Australian health and aged care research agenda: a systematic review of evidence at the subacute interface. Aust Health Rev. 2016; 40(4): 420–7. DOI: 10.1071/AH15005
- Wee SL, Vrijhoef HJ. A conceptual framework for evaluating the conceptualization, implementation and performance of transitional care programmes. Journal of evaluation in clinical practice. 2015; 21(2): 221–8. DOI: 10.1111/jep.12292
- Coleman EA. Falling through the cracks: challenges and opportunities for improving transitional care for persons with continuous complex care needs. Journal of the American Geriatrics Society. 2003; 51(4): 549–55. DOI: 10.1046/j.1532-5415.2003.51185.x
- Naylor MD, Sochalski JA. Scaling up: bringing the transitional care model into the mainstream. Issue brief (Commonwealth Fund). 2010; 103: 1–12.
- World Health Organization. WHO global strategy on people-centred and integrated health services: Interim report Geneva 2015. Available from:
https://www.who.int/servicedeliverysafety/areas/people-centred-care/ipchs-what/en/ . - Leutz W. Five laws for integrating medical and social services: lessons from the United States and the United Kingdom. Milbank Quarterly. 1999; 77(1). DOI: 10.1111/1468-0009.00125
- Nolte E, Pitchforth E.
What is the evidence on the economic impacts of integrated care? Copenhagen: European Observatory on Health Systems and Policies; 2014. - National Voices. Think Local Act Personal. A narrative for person-centred coordinated care 2013. Available from:
https://www.nationalvoices.org.uk/publications/our-publications/narrative-person-centred-coordinated-care . - Proctor E, Silmere H, Raghavan R, et al. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Administration and policy in mental health. 2011; 38(2): 65–76. DOI: 10.1007/s10488-010-0319-7
Institute of Medicine Committee on Crossing the Quality Chasm: Adaptation to Mental H, Addictive D. The National Academies Collection: Reports funded by National Institutes of Health . Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series. Washington, DC: National Academies Press (US); 2006.- Kreindler SA. Six ways not to improve patient flow: a qualitative study. BMJ Quality & Safety. 2017; 26: 388–94.
- Madore O. The Canada Health Act: Overview and Options. Parliament of Canada; 2012.
- Manitoba Health. Annual Statistics 2018-2019 Winnipeg: Manitoba Health; 2019. Available from:
https://www.gov.mb.ca/health/annstats/as1819.pdf . - Canadian Institute for Health Information. NACRS Emergency Department Visits and Length of Stay: Quickstats Ottawa, Ontario2018. Available from:
https://www.cihi.ca/en/emergency-department-wait-times-in-canada-continuing-to-rise . - Canadian Institute for Health Information. Inpatient Hospitalization, Surgeries, Newborns and Childbirth Indicators. Quickstats 2015-2016 Ottawa, Ontario2017. Available from:
https://www.cihi.ca/sites/default/files/document/hospch-hosp-2016-2017-snapshot_en.pdf . - Sivananthan S, Doupe M, McGregor M. Exploring the Ecology of Canada’s Publicly Funded Residential Long-Term Care Bed Supply. Canadian Journal on Aging. 2015; 34(1): 60–74. DOI: 10.1017/S071498081400052X
- Wait Times Reduction Task Force. Wait Times Reduction Task Force: Final Report Winnipeg, Manitoba2017. Available from:
https://www.gov.mb.ca/health/documents/wtrtf.pdf . - Peachey D, Tait N, Adams O, Croson W. Provincial Clinical and Preventive Services Planning for Manitoba: Doing Things Differently and Better Halibut Bay, Nova Scotia2017 [cited 2020 February 20]. Available from:
https://www.gov.mb.ca/health/documents/pcpsp.pdf . - KPMG. Health System Sustainability & Innovation Review: Phase 1 Report Winnipeg, Manitoba2017. Available from:
https://www.gov.mb.ca/health/documents/wtrtf.pdf . - Winnipeg Health Region.
Healing our Health System . Winnipeg. Manitoba2019. Available from:http://healingourhealthsystem.ca . - WInnipeg Health Region. Priority Home 2017. Available from:
http://www.wrha.mb.ca/extranet/priority-home/index.php . - Winnipeg Health Region. Rapid Response Nursing 2017. Available from:
http://www.wrha.mb.ca/extranet/priority-home/rapid-response.php . - Creswell JW, Plano Clark VL.
Designing and Conducting Mixed Methods Research . Third Edition ed: SAGE; 2018. - Roos LL, Gupta S, Soodeen RA, Jebamani L. Data quality in an information-rich environment: Canada as an example. CanJ Aging. 2005; 24 Suppl 1: 153–70. DOI: 10.1353/cja.2005.0055
- Doupe M, Finlayson G, Khan S, et al.
Supportive Housing for Seniors: Reform Implications for Manitoba’s Older Adult Continuum of Care Winnipeg, MB: Manitoba Centre for Health Policy; 2016. - Doupe MB, Day S, McGregor MJ, et al. Pressure Ulcers Among Newly Admitted Nursing Home Residents: Measuring the Impact of Transferring From Hospital. Med Care. 2016; 54(6): 584–91. DOI: 10.1097/MLR.0000000000000522
- Doupe MB, Palatnick W, Day S, et al. Frequent users of emergency departments: developing standard definitions and defining prominent risk factors. Annals of Emergency Medicine. 2012; Jul(1): 24–32. DOI: 10.1016/j.annemergmed.2011.11.036
- Weeks LE, Macdonald M, Martin-Misener R, et al. The impact of transitional care programs on health services utilization in community-dwelling older adults: a systematic review. JBI database of systematic reviews and implementation reports. 2018; 16(2): 345–84. DOI: 10.11124/JBISRIR-2017-003486
- Lix L, Yogendran M, Burchill C, et al. Defining and Validating Chronic Diseases: An Administrative Data Approach.
http://mchp-appservcpeumanitobaca/reference/chronicdiseasepdf . 2006. - Canadian Institute of Health Information. Acute and Ambulatory Care Data Content Standard 2017. Available from:
https://secure.cihi.ca/free_products/acute-ambulatory-care-data-content-standard-june-2017-en.pdf . - Canadian Institute of Health Information. A Guide to Intervention Code Assignment 2018. Available from:
https://www.cihi.ca/sites/default/files/document/cci-guide-en.pdf . - Schneeweiss S, Rassen JA, Glynn RJ, et al. High-dimensional propensity score adjustment in studies of treatment effects using health care claims data. Epidemiology (Cambridge, Mass). 2009; 20(4): 512–22. DOI: 10.1097/EDE.0b013e3181a663cc
- Schneeweiss S. Automated data-adaptive analytics for electronic healthcare data to study causal treatment effects. Clinical epidemiology. 2018; 10: 771–88. DOI: 10.2147/CLEP.S166545
- Austin PC. An Introduction to Propensity Score Methods for Reducing the Effects of Confounding in Observational Studies. Multivariate Behav Res. 2011; 46(3): 399–424. DOI: 10.1080/00273171.2011.568786
- Diaz M, Neuhauser D. Pasteur and parachutes: when statistical process control is better than a randomized controlled trial. Qual Saf Health Care. 2005; 14(2): 140–3. DOI: 10.1136/qshc.2005.013763
- Western Electric Company. Statistical quality control handbook 1958. Available from:
https://www.westernelectric.com/support-statistical-quality-control-handbook.html . - Gregory BH, Van Horn C, Kaprielian VS. 8 steps to a chart audit for quality. Family practice management. 2008; 15(7): A3–8.
- Cohen S, Syme L.
Issues in the Study and Application of Social Support . In: Cohen S, Syme L (eds.), Social Support and Health. 3–22. New York: Academic Press; 1985. - Koppitz AL, Dreizler J, Altherr J, et al. Relocation experiences with unplanned admission to a nursing home: a qualitative study. Int Psychogeriatr. 2017; 29(3): 517–27. DOI: 10.1017/S1041610216001964
- Rossman GB, Wilson BL. Numbers and words: Combining quantitative and qualitative methods in a single large-scale evaluation study. Evaluation Review. 1985; 9: 627–43. DOI: 10.1177/0193841X8500900505
- Aase K, Waring J. Crossing boundaries: Establishing a framework for researching quality and safety in care transitions. Appl Ergon. 2020; 89:
103228 . DOI: 10.1016/j.apergo.2020.103228 - Aase K, Schibevaag L, Waring J.
Crossing boundaries: quality in care transition . In: Aase K, Waring J, Schibevaag L (eds.), Researching Quality in Care Transitions: International Perspectives. 3–29. Cham: Palgrave MacMillan; 2017. DOI: 10.1007/978-3-319-62346-7_1
DOI: https://doi.org/10.5334/ijic.5953 | Journal eISSN: 1568-4156
Language: English
Submitted on: Apr 6, 2021
Accepted on: Mar 16, 2022
Published on: Mar 28, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
© 2022 Malcolm B. Doupe, Jennifer E. Enns, Sara Kreindler, Thekla Brunkert, Dan Chateau, Paul Beaudin, Gayle Halas, Alan Katz, Tara Stewart, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.